JERRY DWAYNE MONTGOMERY

SPRINGFIELD, MO
NPI1790021632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2012-12-21
Last Update Date2012-12-21
Business Address
Mr. JERRY DWAYNE MONTGOMERY SLP
639 W CHESTNUT EXPY
SPRINGFIELD, MO 65802-3935
Phone number: 417-523-7500
Mailing Address
Mr. JERRY DWAYNE MONTGOMERY SLP
631 S PARKHILL DR
REPUBLIC, MO 65738-2172
Phone number: 417-773-6186
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